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      Exploring the predictors of depression among Saudi adolescents : Time for urgent firm actions

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          Abstract

          Objectives:

          To estimate the prevalence of depression among Saudi adolescents and identify its correlates.

          Methods:

          This was a cross-sectional study using a multistage random technique that included students at the intermediate and secondary levels in Riyadh, Saudi Arabia. Patient Health Questionnaire (PHQ-9) was used as a tool, in addition to a survey of the potential risk factors. Binary logistic regression was conducted.

          Results:

          Out of 960 students, 32.4% were found to have moderate to severe depression. The age group of 16-19 years was more at risk. Female gender and low father’s education level were significant predictors of depression. Less internet use and more physical activity are considered a protective factor against depression, OR -0.531 (95% CI: 0.315-0.894) and OR -0.668 (95% CI: 0.468-0.953), respectively. Whereas the physical abuse, OR 2.047 (95% CI: 1.287-3.255) and emotional abuse, OR 2.576 (95% CI: 1.740-3.813) considered risk factors for depression.

          Conclusion:

          The prevalence of depression among Saudi adolescents is worrisome. Urgent and firm actions should be taken in response to the increasing prevalence of depression worldwide.

          Related collections

          Most cited references45

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          The PHQ-9: validity of a brief depression severity measure.

          While considerable attention has focused on improving the detection of depression, assessment of severity is also important in guiding treatment decisions. Therefore, we examined the validity of a brief, new measure of depression severity. The Patient Health Questionnaire (PHQ) is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. The PHQ-9 is the depression module, which scores each of the 9 DSM-IV criteria as "0" (not at all) to "3" (nearly every day). The PHQ-9 was completed by 6,000 patients in 8 primary care clinics and 7 obstetrics-gynecology clinics. Construct validity was assessed using the 20-item Short-Form General Health Survey, self-reported sick days and clinic visits, and symptom-related difficulty. Criterion validity was assessed against an independent structured mental health professional (MHP) interview in a sample of 580 patients. As PHQ-9 depression severity increased, there was a substantial decrease in functional status on all 6 SF-20 subscales. Also, symptom-related difficulty, sick days, and health care utilization increased. Using the MHP reinterview as the criterion standard, a PHQ-9 score > or =10 had a sensitivity of 88% and a specificity of 88% for major depression. PHQ-9 scores of 5, 10, 15, and 20 represented mild, moderate, moderately severe, and severe depression, respectively. Results were similar in the primary care and obstetrics-gynecology samples. In addition to making criteria-based diagnoses of depressive disorders, the PHQ-9 is also a reliable and valid measure of depression severity. These characteristics plus its brevity make the PHQ-9 a useful clinical and research tool.
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            The CES-D Scale: A Self-Report Depression Scale for Research in the General Population

            L Radloff (1977)
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              Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation

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                Author and article information

                Journal
                Saudi Med J
                Saudi Med J
                smj
                SAMJDI
                Saudi Medical Journal
                Saudi Medical Journal
                0379-5284
                1658-3175
                June 2021
                : 42
                : 6
                : 673-681
                Affiliations
                From the Department of Family and Community Medicine (AlYousefi, AlRukban), College of Medicine (AlMana, AlTukhaim, AlMeflh, AlMutairi, AlMogheer), King Saud University; and from the King Saud University Medical City (AlYousefi, AlRukban), King Saud University, Riyadh, Kingdom of Saudi Arabia.
                Author notes
                Address correspondence and reprint request to: Dr. Nada A. Alyousefi, Associate Professor, Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia. E-mail: nalyousefi@ 123456ksu.edu.sa ORCID ID: http://orcid.org/0000-0002-9142-425X
                Article
                SaudiMedJ-42-673
                10.15537/smj.2021.42.6.20200790
                9149718
                34078731
                26744a43-c297-4747-99be-96bebc745739
                Copyright: © Saudi Medical Journal

                This is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work.

                History
                : 09 December 2020
                : 09 April 2021
                Categories
                Original Article

                depression,adolescents,saudi arabia
                depression, adolescents, saudi arabia

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